Request Your Formulation

Complete the form below to request your herbal consultation. All fields help me make the most of your time together.

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Who is this consultation for?

This helps me show you the right intake questions.

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Myself

Human wellness consultation with custom herbal formulation

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My Pet

Companion animal consultation — dogs, cats, horses, rabbits & more

About You

Your basic contact and background information.

All new clients begin with an initial phone call. How would you prefer I follow up after that?

Wellness History

The more context you share, the better I can tailor your formula.

Wellness Agreement

Please read and sign the agreement below before submitting your request.

Wellness Services Agreement — Vital Roots Remedies

Nature of Services. The herbal formulations and consultations provided by Vital Roots Remedies are intended for education and general wellness support purposes only. They are not intended to diagnose, treat, cure, or prevent any disease or medical condition. Nothing communicated during a consultation or in any formula documentation constitutes medical or veterinary advice.

Not a Substitute for Professional Care. I understand that these services are not a replacement for care provided by a licensed physician, veterinarian, or other qualified healthcare professional. I agree to continue working with my existing medical or veterinary providers, especially for any diagnosed or suspected health conditions.

Disclosure of Medications and Conditions. I agree to disclose all current medications, supplements, and relevant health conditions for myself or my companion animal. I understand that withholding this information may affect the safety or suitability of the formulation.

Herb-Drug Interaction Awareness. I understand that some herbs may interact with medications. While care is taken to screen for known interactions, the field of herb-drug interaction research is regularly evolving. I agree to notify my prescribing physician or veterinarian of any new herbal supplementation.

Disclaimer for Companion Animal Consultations. For consultations involving companion animals, I acknowledge that herbal support is not a substitute for veterinary care. I understand that any formula is provided with the intent of general wellness support, not treatment of any veterinary diagnosed condition.

FDA Disclaimer. These statements and products have not been evaluated by the Food and Drug Administration. These formulations are not intended to diagnose, treat, cure, or prevent any disease.

Results. I understand that individual results may vary. No specific wellness outcomes are promised or guaranteed.

By typing your name above and clicking "Continue," you are providing your electronic signature and agreement to the terms above.

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Request Received!

Thank you for submitting your intake information. The next steps are:

  1. I will review your form within 1–2 business days and make sure that you are a good candidate for herbal therapy.
  2. Once confirmed, I'll send you an invoice for the initial consult and schedule the consult call with you. During that call we can go over any further questions I may still have, and discuss the herbal plan.
  3. In the next 1–3 business days after the call, I will create your herb formula and then send you the invoice for the cost of the formula.
  4. Once payment is received, I will ship it out to you and will send you the tracking information.
  5. You are welcome to return to the website for future Refill Requests. I can also discuss automatic payments and formula shipping once you are settled with a formula long term.

Additional Information

  • If I do not have an herb in stock that is needed for your formula, I will have to order it. That will likely add another 3–5 business days, but I will inform you if that is the case and give you the estimated arrival date of the herb once ordered.
  • Follow-up communication after the initial phone call will be via text or email (whichever you marked as preferred). I can answer any questions you may have, as well as make minor tweaks to the ratio of herbs in your formula for future batches.
  • If big formula adjustments are needed (usually due to correcting a problem and wanting to address a different one, or new changes in health condition), you can submit a Modify My Formula request, which is treated as a follow-up appointment.

Request a Refill

For existing customers needing a formula refill. If anything has changed significantly since your last order, I may recommend a brief check-in call before preparing your formula.

Modify My Formula

For current customers whose wellness needs have changed significantly and whose formula needs a full revisit — not just a refill. Share what's changed and I'll reach out to go over everything before crafting your updated formula.